Responsive feeding: infant decides, parent provides
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Dear Healthcare Professional,

Welcome to the November edition of our newsletter aimed to keep you updated with the latest news in infant nutrition.
This month we are discussing what is responsive feeding and how can it help shape a baby’s future. We have also created new resources, available on the website, which can help you to support parents to feed responsively.
In recognition of World Prematurity day which occurs on the 17th of this month, we are looking at the unique nutritional needs of preterm infants and the continuing importance of ensuring these needs are met.
Finally, we would like to introduce our new SMA® PRO Gold Prem 2 post-discharge formula which meets the needs of preterm infants on discharge from hospital.

Kind regards,

The SMA® Professional Team
Responsive Feeding: infant decides, parent provides
Breastfeeding is a naturally responsive way of feeding. Responsive feeding refers to the mutual relationship between baby and caregiver – Infants are born with a sensitive appetite control mechanism that naturally regulates their energy intake. The infant provides the caregiver with clear hunger and fullness cues and it’s important that the caregiver accurately interprets these cues so not to override this natural mechanism. Otherwise this could lead to over feeding. It is suggested that responsive feeding can contribute to a child’s healthy growth and eating behaviours in later life, partly due to the nurturing of their innate self-regulation of energy intake1.
To find out more please view our new resources dedicated to helping you to support parents. We have also created an unbranded helpsheet that you can use with parents when responsively feeding.

Come and find out more about responsive feeding at our stand at Unite-CPHVA Annual Professional Conference held in Telford on 15-16th November 2016.
View resources on responsive feeding
World Prematurity Day - 17th November
Prebiotics and constipation
World Prematurity day takes place on the 17th November to recognise the 15 million babies born prematurely each year across the world2. Preterm infants miss a critical period of in utero neurological development. This means that they are more vunerable to brain injury and long-term neurological effects compared to term infants3. Recent research has associated increased energy and protein intakes with positive developmental outcomes for this at risk group of infants4. The ESPGHAN guidelines reflect these increased requirements5. Click here for more information on feeding a preterm infant and for a summary of these ESPGHAN guidelines.
View summary of ESPGHAN guidance
NEW SMA® PRO Gold Prem 2
SMA® PRO Gold Prem 2 is our new post-discharge formula (PDF) designed specifically to meet the needs of preterm infants, who are not breastfed, once they go home.

For preterm infants who are formula fed on discharge, ESPGHAN recommends a PDF should be given until at least 40 weeks and possibly up to 52 weeks, post conceptional age5.
Click here for more information on SMA® PRO Gold Prem 2.
Learn more about SMA® PRO Gold Prem 2
Download data card
*powder only, osmolality of liquids is 296 mOsm/kg H2O6
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IMPORTANT NOTICE: The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breast-feed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use an infant formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can lead to illness. This product must be used under medical supervision. SMA® PRO Gold Prem 2 is a special catch-up formula intended for the dietary management of preterm and low birthweight babies who are not solely fed breast milk. It is a nutritionally complete formula for use on discharge from hospital or when a low birthweight formula is no longer appropriate. It is suitable for use as the sole source of nutrition up to 6 months corrected age. SMA® PRO Gold Prem 2 is not intended for use with newborn preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA® PRO Gold Prem 1 is more appropriate.

References: 1. Harbron J, Booley S, Najaar B, Day CE., 2013. Responsive feeding: establishing healthy eating behaviour early on in life. S Afr J Clin Nutr. 26 (3), S141-149. 2. World Health Organisation (WHO). 2015. Preterm Birth Fact Sheet. Available online here. (Accessed 09/09/2016) 3. Loftin R et al. Late Preterm Birth. Obstetrics & Gynaecology 2010; 3 (1): 10-19. 4. Sammallahti S et al. (2015) Infant Growth after Preterm Birth and Mental Health in Young Adulthood. PLoS ONE 10(9): e0137092. doi:10.1371/journal.pone.0137092. (Accessed 26/10/2016) 5. Aggett PJ et al. J Pediatr Gastr Nutr 2006; 42: 596–603. 6. Data is correct as per SMA® PRO Gold Prem 2 and Cow & Gate Nutriprem 2 datacards, August 2016.
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